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NPI Code Detail

MEDICARE: ALL LOVE INC

MEDICARE: ALL LOVE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2251E00000XHome Health AgencyMN
3251E00000XHome Health Agency347982MN

General Provider Information

NPI Number : 1174819031
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL LOVE INC
Provider Business Mailing Address
First Line : 5701 SHINGLE CREEK PKWY STE 580
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2326
Country : US
Telephone Number : 763-205-5913
Fax Number :
Provider Business Practice Location Address
First Line : 5701 SHINGLE CREEK PKWY STE 580
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2326
Country : US
Telephone Number : 763-205-5913
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PAXTON PHILLIP RICHARDSON
Credential :
Telephone Number : 763-205-5913
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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Directions to “ALL LOVE INC ” Practice Location

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